Brian Hart, DDS is a student in an organized health care education training program in Portage, WI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Brian Hart, DDS NPI is 1457885873. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
225 GUNDERSON DR
PORTAGE, WI
ZIP 53901-430
Phone: (608) 697-2484
The enumeration date for this NPI number is 4/12/2017 and was last updated on 4/12/2017.